By the Numbers, Inc

Error Report For By the Numbers, Inc.:

o 1120 Warning: Determine whether the IRS may discuss this return with the

preparer and select appropriate response box.

o 1120 Warning: The amount entered as buildings and other depreciable

assets at the beginning of tax year on Sch L does not equal

the amount from Form 4562.

o 1120 Warning: The amount entered as accumulated depreciation at the

beginning of tax year on Sch L does not equal the amount

from Form 4562.

o 1120 Warning: The amount entered as Land (net of any amortization) at

the beginning of tax year on Sch L does not equal the

amount from Form 4562.

o 1120 Warning: The amount entered as buildings and other depreciable

assets at the end of tax year on Sch L does not equal the

amount from Form 4562.

o 1120 Warning: The amount entered as accumulated depreciation at the

end of tax year on Sch L does not equal the amount from

Form 4562.

o 1120 Warning: The amount entered as Land (net of any amortization) at

the end of tax year on Sch L does not equal the amount

from Form 4562.

o 1120 Warning: The end-of-year unappropriated retained earnings reported

on Sch L should equal the amount reported on Sch M-2.

o 1120 Error: The box for a personal service corporation was not

checked.

o 1120 Warning: The Corporation qualifies as a small corporation or is

otherwise exempt from the alternative minimum tax.

o 1120 Informational: Either the Yes or the No box should be checked.

o Sch PH (1120) Warning: If Line 6 is less than 60%, the corporation is not a PHC. Do

not file Schedule PHC.

o 4562 Informational: IRS does not always require that a statement with details of

Part II and III be included with the return. To print this

statement select the 'See statement' box.

o 4626 Informational: ACE adjustment does not apply to a regulated investment

company or a real estate investment trust.

o 4626 Informational: Expired NOLs may have rolled over from the prior year

return. Please review and adjust the NOL Carryover

worksheet if applicable.

Override and Estimate Report For By the Numbers, Inc.:

o 1120 Override: On Sheet 1 you entered a value of "22400"

o 1125-E Override: On Sheet 1 you entered a value of "250000"

o Asset Entry Override: On Sheet Input you entered a value of ""

OMB No. 1545-0123U.S. Corporation Income Tax ReturnForm 1120

For calendar year 2011 or tax year beginning , endingDepartment of the TreasuryInternal Revenue Service See separate instructions.

A Check if: Name B Employer identification number

1a Consolidated return

(attach Form 851) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . By the Numbers, Inc. 11-1111111b Life/nonlife consoli- Number, street, and room or suite no. If a P.O. box, see instructions. C Date incorporated

dated return . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Before 1900, see Options tab.2 Personal holding co. 1001 N. Main St. 8/8/2005

(attach Sch. PH) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . City or town State ZIP code D Total assets (see instructions)

3 Personal service corp.

TYPE

OR

PRINT

(see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Los Angeles CA 90012 $ 396,310

4 Schedule M-3 attached E Check if: (1) Initial return (2) Final return (3) Name change (4) Address change

1a Merchant card and third-party payments. For 2011, enter -0- . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1a 0

b Gross receipts or sales not reported on line 1a (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1b 530,000

c Total. Add lines 1a and 1b . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1c 530,000

d Returns and allowances plus any other adjustments (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1d 3,000

e Subtract line 1d from line 1c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1e 527,000

2 Cost of goods sold from Form 1125-A, line 8 (attach Form 1125-A) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

3 Gross profit. Subtract line 2 from line 1e . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 527,000

4 Dividends (Schedule C, line 19) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

5 Interest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 3,000

6 Gross rents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

7 Gross royalties . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

8 Capital gain net income (attach Schedule D (Form 1120)) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

9 Net gain or (loss) from Form 4797, Part II, line 17 (attach Form 4797) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

10 Other income (see instructions—attach schedule) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

11 Total income. Add lines 3 through 10 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 530,000

12 Compensation of officers from Form 1125-E, line 4 (attach Form 1125-E) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

13 Salaries and wages (less employment credits) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 5,000

14 Repairs and maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 9,500

15 Bad debts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

16 Rents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 4,100

17 Taxes and licenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 50,470

18 Interest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 12,800

19 Charitable contributions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 1,000

20 Depreciation from Form 4562 not claimed on Form 1125-A or elsewhere on return (attach Form 4562) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 22,400

21 Depletion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

22 Advertising . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22 19,300

23 Pension, profit-sharing, etc., plans . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23 25,000

24 Employee benefit programs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24 16,900

25 Domestic production activities deduction (attach Form 8903) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

26 Other deductions (attach schedule) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26 67,900

27 Total deductions. Add lines 12 through 26 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27 234,370

28 Taxable income before net operating loss deduction and special deductions. Subtract line 27 from line 11 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28 295,630

29a Net operating loss deduction (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29a

b Special deductions (Schedule C, line 20) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29b

c Add lines 29a and 29b . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29c 030 Taxable income. Subtract line 29c from line 28 (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . 30 295,630

31 Total tax (Schedule J, Part I, line 11) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31 103,471

32 Total payments and refundable credits (Schedule J, Part II, line 21) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32 0

33 Estimated tax penalty (see instructions). Check if Form 2220 is attached . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33

34 Amount owed. If line 32 is smaller than the total of lines 31 and 33, enter amount owed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34 103,471

35 Overpayment. If line 32 is larger than the total of lines 31 and 33, enter amount overpaid . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35 036 Enter amount from line 35 you want: Credited to 2012 estimated tax Refunded 36 0

Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct,and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.

11/29/2012 Neda B. Ardekani May the IRS discuss this return with the preparer shown below (see

instructions)? Yes NoSignature of officer Date Title

Sign

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PTIN

SELF-PREPARED RETURN self-employed

Firm's name Firm's EIN

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Form 1120 (2011) By the Numbers, Inc. 11-111111111-1111111 Page 2Schedule C Dividends and Special Deductions (see instructions) (a) Dividends (c) Special deductions

received(b) %

(a) × (b)

1 Dividends from less-than-20%-owned domestic corporations (other thandebt-financed stock) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70 0

2 Dividends from 20%-or-more-owned domestic corporations (other thandebt-financed stock) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 80 0

3 Dividends on debt-financed stock of domestic and foreign corporations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

seeinstructions 0

4 Dividends on certain preferred stock of less-than-20%-owned public utilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42 0

5 Dividends on certain preferred stock of 20%-or-more-owned public utilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48 0

6 Dividends from less-than-20%-owned foreign corporations and certain FSCs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70 0

7 Dividends from 20%-or-more-owned foreign corporations and certain FSCs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 80 0

8 Dividends from wholly owned foreign subsidiaries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100 0

9 Total. Add lines 1 through 8. See instructions for limitation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0

10 Dividends from domestic corporations received by a small business investment

company operating under the Small Business Investment Act of 1958 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100 0

11 Dividends from affiliated group members . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100 0

12 Dividends from certain FSCs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100 0

13 Dividends from foreign corporations not included on lines 3, 6, 7, 8, 11, or 12 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

14 Income from controlled foreign corporations under subpart F (attach Form(s) 5471) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

15 Foreign dividend gross-up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

16 IC-DISC and former DISC dividends not included on lines 1, 2, or 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

17 Other dividends . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

18 Deduction for dividends paid on certain preferred stock of public utilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

19 Total dividends. Add lines 1 through 17. Enter here and on page 1, line 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0

20 Total special deductions. Add lines 9, 10, 11, 12, and 18. Enter here and on page 1, line 29b . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0

Form 1120 (2011)

Form 1120 (2011) By the Numbers, Inc. 11-111111111-1111111 Page 3Schedule J Tax Computation and Payment (see instructions)

Part I–Tax Computation

1 Check if the corporation is a member of a controlled group (attach Schedule O (Form 1120)) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2 Income tax. Check if a qualified personal service corporation (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . X 2 103,471

3 Alternative minimum tax (attach Form 4626) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

4 Add lines 2 and 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 103,471

5a Foreign tax credit (attach Form 1118) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5a

b Credit from Form 8834, line 30 (attach Form 8834) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . 5b

c General business credit (attach Form 3800) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5c

d Credit for prior year minimum tax (attach Form 8827) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5d

e Bond credits from Form 8912 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5e

6 Total credits. Add lines 5a through 5e . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 0

7 Subtract line 6 from line 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 103,471

8 Personal holding company tax (attach Schedule PH (Form 1120)) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

9a Recapture of investment credit (attach Form 4255) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9a

b Recapture of low-income housing credit (attach Form 8611) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9b

c Interest due under the look-back method—completed long-term contracts (attach

Form 8697) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9c

d Interest due under the look-back method—income forecast method (attach Form

8866) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9d

e Alternative tax on qualifying shipping activities (attach Form 8902) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9e

f Other (see instructions—attach schedule) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9f

10 Total. Add lines 9a through 9f . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 0

11 Total tax. Add lines 7, 8, and 10. Enter here and on page 1, line 31 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . 11 103,471

Part II–Payments and Refundable Credits

12 2010 overpayment credited to 2011 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

13 2011 estimated tax payments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . 13

14 2011 refund applied for on Form 4466 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 ( )

15 Combine lines 12, 13, and 14 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 0

16 Tax deposited with Form 7004 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

17 Withholding (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

18 Total payments. Add lines 15, 16, and 17 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 0

19 Refundable credits from:

a Form 2439 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19a

b Form 4136 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . 19b

c Form 3800, line 17c and Form 8827, line 8c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19c

d Other (attach schedule—see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19d

20 Total credits. Add lines 19a through 19d . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 0

21 Total payments and credits. Add lines 18 and 20. Enter here and on page 1, line 32 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 0

Schedule K Other Information (see instructions)

1 Check accounting method: a X Cash b Accrual c Other (specify) Yes No

2 See the instructions and enter the:

a Business activity code no. 541990

b Business activity actuarial

c Product or service actuarial

3 Is the corporation a subsidiary in an affiliated group or a parent-subsidiary controlled group? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . X

If "Yes," enter name and EIN of the parent corporation EIN

Name

4 At the end of the tax year:

a Did any foreign or domestic corporation, partnership (including any entity treated as a partnership), trust, or tax-exempt

organization own directly 20% or more, or own, directly or indirectly, 50% or more of the total voting power of all classes of the

corporation's stock entitled to vote? If "Yes," complete Part I of Schedule G (Form 1120) (attach Schedule G) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . X

b Did any individual or estate own directly 20% or more, or own, directly or indirectly, 50% or more of the total voting power of all

classes of the corporation's stock entitled to vote? If "Yes," complete Part II of Schedule G (Form 1120) (attach Schedule G) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . X

Form 1120 (2011)

Form 1120 (2011) By the Numbers, Inc. 11-111111111-1111111 Page 4Schedule K Other Information continued (see instructions)

Yes No

5 At the end of the tax year, did the corporation:

a Own directly 20% or more, or own, directly or indirectly, 50% or more of the total voting power of all classes of stock entitled to vote of any

foreign or domestic corporation not included on Form 851, Affiliations Schedule? For rules of constructive ownership, see instructions. X

If "Yes," complete (i) through (iv) below.

(iii) Country of(i) Name of Corporation

(ii) Employer

Identification Number(if any)

Incorporation

(iv) Percentage

Owned in VotingStock

b Own directly an interest of 20% or more, or own, directly or indirectly, an interest of 50% or more in any foreign or domestic partnership

(including an entity treated as a partnership) or in the beneficial interest of a trust? For rules of constructive ownership, see instructions . . . . . . . . . . . . . . . . . . . . . . . . . . XIf "Yes," complete (i) through (iv) below.

(i) Name of Entity(ii) Employer


(iii) Country of Organization(iv) Maximum

Percentage Owned inProfit, Loss, or Capital

6 During this tax year, did the corporation pay dividends (other than stock dividends and distributions in exchange for stock) inexcess of the corporation's current and accumulated earnings and profits? (See sections 301 and 316.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . XIf "Yes," file Form 5452, Corporate Report of Nondividend Distributions.

If this is a consolidated return, answer here for the parent corporation and on Form 851 for each subsidiary.

7 At any time during the tax year, did one foreign person own, directly or indirectly, at least 25% of (a) the total voting power of allclasses of the corporation's stock entitled to vote or (b) the total value of all classes of the corporation's stock? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . X

For rules of attribution, see section 318. If "Yes," enter:

(i) Percentage owned and (ii) Owner's country

(c) The corporation may have to file Form 5472, Information Return of a 25% Foreign-Owned U.S. Corporation or a Foreign

Corporation Engaged in a U.S. Trade or Business. Enter the number of Forms 5472 attached

8 Check this box if the corporation issued publicly offered debt instruments with original issue discount . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

If checked, the corporation may have to file Form 8281, Information Return for Publicly Offered Original Issue Discount Instruments.

9 Enter the amount of tax-exempt interest received or accrued during the tax year $ 3,000

10 Enter the number of shareholders at the end of the tax year (if 100 or fewer) 2

11 If the corporation has an NOL for the tax year and is electing to forego the carryback period, check here . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

If the corporation is filing a consolidated return, the statement required by Regulations section 1.1502-21(b)(3) must be attached orthe election will not be valid.

12 Enter the available NOL carryover from prior tax years (do not reduce it by any deduction on line 29a.) $

13 Are the corporation's total receipts (line 1c plus lines 4 through 10 on page 1) for the tax year and its total assets at the end of thetax year less than $250,000? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . X

If "Yes," the corporation is not required to complete Schedules L, M-1, and M-2 on page 5. Instead, enter the total amount of cashdistributions and the book value of property distributions (other than cash) made during the tax year. $

14 Is the corporation required to file Schedule UTP (Form 1120), Uncertain Tax Position Statement (see instructions)? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If "Yes," complete and attach Schedule UTP.

15a Did the corporation make any payments in 2011 that would require it to file Form(s) 1099 (see instructions)? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . X

b If "Yes," did or will the corporation file all required Forms 1099? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Form 1120 (2011)

Form 1120 (2011) By the Numbers, Inc. 11-111111111-1111111 Page 5Schedule L Balance Sheets per Books Beginning of tax year End of tax year

Assets (a) (b) (c) (d)

1 Cash . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23,220 26,300

2a Trade notes and accounts receivable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35,850 32,100

b Less allowance for bad debts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) 35,850 ( ) 32,100

3 Inventories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

4 U.S. government obligations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

5 Tax-exempt securities (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75,000 75,000

6 Other current assets (attach schedule) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

7 Loans to shareholders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

8 Mortgage and real estate loans . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

9 Other investments (attach schedule) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

10a Buildings and other depreciable assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 295,600 311,700

b Less accumulated depreciation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( 63,500) 232,100 ( 85,900) 225,800

11a Depletable assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

b Less accumulated depletion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) 0 ( ) 0

12 Land (net of any amortization) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35,000 35,000

13a Intangible assets (amortizable only) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

b Less accumulated amortization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) 0 ( ) 0

14 Other assets (attach schedule) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,980 2,110

15 Total assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 404,150 396,310

Liabilities and Shareholders' Equity

16 Accounts payable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34,800 35,596

17 Mortgages, notes, bonds payable in less than 1 year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

18 Other current liabilities (attach schedule) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9,350 18,250

19 Loans from shareholders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

20 Mortgages, notes, bonds payable in 1 year or more . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 114,000 108,600

21 Other liabilities (attach schedule) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

22 Capital stock: a Preferred stock . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

b Common stock . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 200,000 200,000 200,000 200,000

23 Additional paid-in capital . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

24 Retained earnings—Appropriated (attach schedule) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

25 Retained earnings—Unappropriated . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46,000 33,864

26 Adjustments to shareholders' equity (attach schedule)

27 Less cost of treasury stock . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) ( )

28 Total liabilities and shareholders' equity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 404,150 396,310

Schedule M-1 Reconciliation of Income (Loss) per Books With Income per ReturnNote: Schedule M-3 required instead of Schedule M-1 if total assets are $10 million or more—see instructions

1 Net income (loss) per books . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 299,496 7 Income recorded on books this year not

2 Federal income tax per books . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . -4,666 included on this return (itemize):

3 Excess of capital losses over capital gains . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Tax-exempt interest $ 3,000

4 Income subject to tax not recorded on books

this year (itemize): 3,000

0 8 Deductions on this return not charged

5 Expenses recorded on books this year not against book income this year (itemize):

deducted on this return (itemize): a Depreciation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$

a Depreciation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$ b Charitable contributions $

b Charitable contributions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$

c Travel and entertainment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$ 3,800

0

3,800 9 Add lines 7 and 8 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3,000

6 Add lines 1 through 5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 Income (page 1, line 28)—line 6 less line 9298,630 295,630

Schedule M-2 Analysis of Unappropriated Retained Earnings per Books (Line 25, Schedule L)1 Balance at beginning of year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46,000 5 Distributions: a Cash . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20,000

2 Net income (loss) per books . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 299,496 b Stock . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3 Other increases (itemize): c Property . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

6 Other decreases (itemize):

0 7 Add lines 5 and 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20,000

4 Add lines 1, 2, and 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Balance at end of year (line 4 less line 7)345,496 325,496

Form 1120 (2011)

OMB No. 1545-0175

Form 4626 Alternative Minimum Tax—CorporationsSee separate instructions.

Department of the TreasuryInternal Revenue Service Attach to the corporation's tax return.

Name Employer identification number

By the Numbers, Inc. 11-1111111

Note: See the instructions to find out if the corporation is a small corporation exempt from the

alternative minimum tax (AMT) under section 55(e).

1 Taxable income or (loss) before net operating loss deduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 295,630

2 Adjustments and preferences:

a Depreciation of post-1986 property . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2a

b Amortization of certified pollution control facilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2b

c Amortization of mining exploration and development costs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2c

d Amortization of circulation expenditures (personal holding companies only) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2d

e Adjusted gain or loss . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2e

f Long-term contracts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2f

g Merchant marine capital construction funds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2g

h Section 833(b) deduction (Blue Cross, Blue Shield, and similar type organizations only) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2h

i Tax shelter farm activities (personal service corporations only) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2i

j Passive activities (closely held corporations and personal service corporations only) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2j

k Loss limitations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2k

l Depletion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2l

m Tax-exempt interest income from specified private activity bonds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2m

n Intangible drilling costs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2n

o Other adjustments and preferences. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2o

3 Pre-adjustment alternative minimum taxable income (AMTI). Combine lines 1 through 2o . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 295,630

4 Adjusted current earnings (ACE) adjustment:

a ACE from line 10 of the ACE worksheet in the instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4a 298,630

b Subtract line 3 from line 4a. If line 3 exceeds line 4a, enter the difference as a

negative amount (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4b 3,000

c Multiply line 4b by 75% (.75). Enter the result as a positive amount . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4c 2,250

d Enter the excess, if any, of the corporation's total increases in AMTI from prior

year ACE adjustments over its total reductions in AMTI from prior year ACE

adjustments (see instructions). Note: You must enter an amount on line 4d

(even if line 4b is positive) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4d

e ACE adjustment.

If line 4b is zero or more, enter the amount from line 4c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4e 2,250

If line 4b is less than zero, enter the smaller of line 4c or line 4d as a negative amount

5 Combine lines 3 and 4e. If zero or less, stop here; the corporation does not owe any AMT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 297,880

6 Alternative tax net operating loss deduction (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 0

7 Alternative minimum taxable income. Subtract line 6 from line 5. If the corporation held a residual

interest in a REMIC, see instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 297,880

8 Exemption phase-out (if line 7 is $310,000 or more, skip lines 8a and 8b and enter -0- on line 8c):

a Subtract $150,000 from line 7 (if completing this line for a member of a

controlled group, see instructions). If zero or less, enter -0- . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8a 147,880

b Multiply line 8a by 25% (.25) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8b 36,970

c Exemption. Subtract line 8b from $40,000 (if completing this line for a member of a controlled group,

see instructions). If zero or less, enter -0- . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8c 3,030

9 Subtract line 8c from line 7. If zero or less, enter -0- . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 294,850

10 Multiply line 9 by 20% (.20) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 58,970

11 Alternative minimum tax foreign tax credit (AMTFTC) (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

12 Tentative minimum tax. Subtract line 11 from line 10 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 58,970

13 Regular tax liability before applying all credits except the foreign tax credit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 103,471

14 Alternative minimum tax. Subtract line 13 from line 12. If zero or less, enter -0-. Enter here and on

Form 1120, Schedule J, line 3, or the appropriate line of the corporation's income tax return . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 0

For Paperwork Reduction Act Notice, see the instructions. Form 4626 (2011)(HTA)

SCHEDULE G Information on Certain Persons Owning the(Form 1120)(Rev. December 2011) Corporation's Voting Stock OMB No.1545-0123

Department of the Treasury Attach to Form 1120.Internal Revenue Service See instructions on page 2.

Name Employer identification number (EIN)


Part I Certain Entities Owning the Corporation's Voting Stock. (Form 1120, Schedule K, Question 4a).

Complete columns (i) through (v) below for any foreign or domestic corporation, partnership (includingany entity treated as a partnership), trust, or tax-exempt organization that owns directly 20% or more, orowns, directly or indirectly, 50% or more of the total voting power of all classes of the corporation'sstock entitled to vote (see instructions).

(i) Name of Entity (iii) Type of Entity (iv) Country of Organization (v) Percentage Owned in Voting Stock(ii) Employer Identification

Number (if any)

Part II Certain Individuals and Estates Owning the Corporation's Voting Stock. (Form 1120, Schedule K,Question 4b). Complete columns (i) through (iv) below for any individual or estate that owns directly 20%or more, or owns, directly or indirectly, 50% or more of the total voting power of all classes of thecorporation's stock entitled to vote (see instructions).

(iii) Country of(i) Name of Individual or Estate Citizenship (see

(ii) IdentifyingNumber (if any) instructions)

(iv) Percentage Ownedin Voting Stock

Belinda Jackson 123-45-6789 United States 50.000%

Ahmad Sharma 987-65-4321 United States 50.000%

For Paperwork Reduction Act Notice, Schedule G (Form 1120) (Rev. 12-2011)

see the Instructions for Form 1120.(HTA)

SCHEDULE PH

(Form 1120)

(Rev. December 2011)

U.S. Personal Holding Company (PHC) TaxOMB No. 1545-0123

See separate instructions. Attach to tax return.Department of the TreasuryInternal Revenue Service



Part I Undistributed Personal Holding Company Income (see instructions)

1 Taxable income before net operating loss deduction and special deductions. Enter

amount from Form 1120, line 28 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 295,630

2 Contributions deducted in figuring line 1. Enter amount from Form 1120, line 19 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 1,000

3 Excess expenses and depreciation under section 545(b)(6). Enter amount from Part V,

line 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

4 Total. Add lines 1 through 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 296,630

5 Federal and foreign income, war profits, and excess profits taxes not deducted in figuring

line 1 (attach schedule) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

6 Contributions deductible under section 545(b)(2). See instructions for limitation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

7 Net operating loss for the preceding tax year deductible under section 545(b)(4) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

8 a Net capital gain from Schedule D (Form 1120), line 13 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8a

b Less: Income tax on this net capital gain (see section

545(b)(5)) (attach computation) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8b 4,925 8c -4,925

9 Deduction for dividends paid (other than dividends paid after the end of the tax year).

Enter amount from Part VI, line 5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

10 Total. Add lines 5 through 9 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . 10 -4,925

11 Subtract line 10 from line 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 301,555

12 Dividends paid after the end of the tax year (other than deficiency dividends defined in

section 547(d)), but not more than the smaller of line 11 or 20% of Part VI, line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

13 Undistributed PHC income. Subtract line 12 from line 11. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 301,555

Note: If the information in Part II and Part IV is not submitted with the return, the limitation period for assessment andcollection of the PHC tax is any time within 6 years after the return is filed. See section 6501(f).

Part II Personal Holding Company Income (see instructions)

14 Dividends . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 20,000

15 a Interest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15a 3,000

b Less: Amounts excluded (attach schedule) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15b 15c 3,000

16 Royalties (other than mineral, oil, gas, or copyright royalties) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

17 Annuities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

18 a Rents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18a 4,100

b Less: Adjustments to rents (attach schedule) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18b 18c 4,100

19 a Mineral, oil, and gas royalties . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19a

b Less: Adjustments to mineral, oil, and gas royalties (attach

schedule) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19b 19c 0

20 Copyright royalties . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

21 Produced film rents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

22 Compensation received for use of corporation property by 25% or more shareholder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

23 Amounts received under personal service contracts and from their sale . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

24 Amounts includible in taxable income from estates and trusts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24

25 PHC income. Add lines 14 through 24 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 27,100

Part III Tax on Undistributed Personal Holding Company Income

26 PHC tax. Multiply the amount on line 13 by the tax rate for undistributed PHC income (see

instructions). Enter the result here and on Schedule J, line 8, or on the proper line of the

appropriate tax return . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26 0

For Paperwork Reduction Act Notice, see the Instructions for Form 1120. Schedule PH (Form 1120) (Rev. 12-2011)

(HTA)

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Schedule PH (Form 1120) (Rev. 12-2011) By the Numbers, Inc. 11-1111111 Page 2Part IV Stock Ownership Requirement Under Section 542(a)(2)

Enter the names and addresses of the individuals who together owned, directly or indirectly, at any timeduring the last half of the tax year, more than 50% in value of the outstanding stock of the corporation.

Highest percentage of shares

(a) Name (b) Address owned during last half of tax year

(c) Preferred (d) Common

1

St Zip

St Zip

St Zip

St Zip

St Zip

2 Add the amounts in columns (c) and (d) and enter the totals here . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . % %

Part V Excess of Expenses and Depreciation Over Income From Property Not AllowableUnder Section 545(b)(6) (see instructions for Part I, line 3)

(a) Description of

property

(b) Date

acquired

(c) Cost or

other basis

(d) Depreciation

deduction

(e) Repairs,

insurance, andother expenses(section 162)

(attach schedule)

(f) Total of

columns (d)and (e)

(g) Income from

rent or othercompensation

(h) Excess

(col. (f) lesscol. (g))

1

2 Total excess of expenses and depreciation over rent or other compensation. Add the amounts in column

(h). Enter the total here and on Part I, line 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0

Note: Attach a statement showing the names and addresses of persons from whom rent or other

compensation was received for the use of, or the right to use, each property.

Part VI Deduction for Dividends Paid Under Sections 561 and 562

1 Taxable dividends paid. Do not include dividends considered as paid in the preceding tax

year under section 563 or deficiency dividends as defined in section 547 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

2 Consent dividends. Attach Forms 972 and 973 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

3 Taxable distributions. Add lines 1 and 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 0

4 Dividend carryover from first and second preceding tax years. Attach computation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

5 Deduction for dividends paid. Add lines 3 and 4. Enter the total here and on Part I,

line 9 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 0

Schedule PH (Form 1120) (Rev. 12-2011)

Form 1125-E Compensation of Officers(December 2011) OMB No. 1545-2225

Attach to Form 1120, 1120-C, 1120-F, 1120-RIC.Department of the Treasury Internal Revenue Service See separate instructions.



Note. Complete Form 1125-E only if total receipts are $500,000 or more. See instructions for definition of total receipts.

Percent of stock owned (f) Amount of(a) Name of officer (b) Social security number

(c) Percent of

time devoted tobusiness (d) Common (e) Preferred compensation

1 Belinda Jackson 123-45-6789 50.00% 50.00% % 125,000

Ahmad Sharma 987-65-4321 50.00% 50.00% % 125,000

% % %

% % %

% % %

% % %

% % %

% % %

% % %

% % %

% % %

% % %

% % %

% % %

% % %

% % %

% % %

% % %

% % %

% % %

2 Total compensation of officers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 250,000

3 Compensation of officers claimed on Form 1125-A or elsewhere on return . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 250,000

4 Subtract line 3 from line 2. Enter the result here and on Form 1120, page 1, line 12 or the

appropriate line of your tax return . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 0

For Paperwork Reduction Act Notice, see separate instructions. Form 1125-E (12-2011)

(HTA)


© 2011 CCH Small Firm Services. All rights reserved.

Line 26 (1120) - Other Deductions1 Dividends paid in cash on stock held by an employee stock ownership plan (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1 20,0002 Travel, Meals and Entertainment

a Travel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2a 6,300b Meals and entertainment, subject to 50% limit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2b 7,600c Meals and entertainment, subject to 80% limit (DOT) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2cd Less disallowed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2d 3,800e Subtract line d from lines b and c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2e 3,800

3 Dues and subscriptions 3 4,9004 Insurance 4 15,0005 Legal and professional fees 5 12,5006 Miscellaneous 6 3,0007 Telephone 7 2,4008 Total other deductions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8 67,9009 Total deductions less expenses for offsetting credits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9 67,900

Line 14, Sch L (1120) - Other AssetsBeginning End

1 Other Assets 1 2,980 2,1102 Total other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2 2,980 2,110

Line 18, Sch L (1120) - Other Current LiabilitiesBeginning End

1 Other Current Liabilities 1 9,350 18,2502 Total other current liabilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2 9,350 18,250

Line 8b (Sch PH (1120)) - Income Tax on Net Capital Gain1 Taxable income from 1120, line 30 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1 295,6302 Net capital gain included in taxable income from Schedule D, line 13 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2 03 Taxable income excluding capital gain. Subtract line 2 from line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3 295,6304 Regular tax on line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4 103,4715 Regular tax on line 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5 98,5466 Tax attributable to capital gain. Subtract line 5 from line 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6 4,925


Line 5 (1120) - Interest Income1 Other U.S. government obligations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1 3,0002 Total . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2 3,000

Line 13 (1120) - Salaries and Wages1 Salaries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1 5,0002 Wages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23 34 Total salaries and wages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4 5,000

Salaries and wages reported elsewhere on return:5 Amounts included in Cost of Goods Sold . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5 06 Elective contributions to a section 401(k) cash or deferred

arrangement, or amounts contributed under a salary reductions SEPagreement or a SIMPLE IRA plan . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6

7 Total salaries and wages reported elsewhere on return . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7 0Less employment credits:

8 From Form 5884 - Work Opportunity Credit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8 09 From Form 8844 - Empowerment Zone Employment Credit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9 0

10 From Form 8845 - Indian Employment Credit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10 011 1112 1213 Total employment credits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13 014 Reduction of expenses for other offsetting credits (see attached statement) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .14 015 Total salaries and wages less employment credits and expense reductions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15 5,000

Line 17 (1120) - Taxes and Licenses1 State income tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1 2,2502 Local property taxes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2 21,5003 Payroll tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3 20,0204 other miscellaneous 4 1,7005 Quarterly payments 5 5,0006 Sub Total . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6 50,4707 Total taxes and licenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7 50,470

Line 18 (1120) - Interest Expense1 Business Loans 1 12,8002 Total . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2 12,800


Line 19 (1120) - Charitable Contributions(A) (B) (C) (D)

Adjustment Deductionunder Section Allowed in Contribution

Amount 170(d)(2)(B) Current Year Carryover1 Contribution for current year:a Direct contribution . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1,000b From partnerships . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .0 1 1,000 0 1,000 0

2 Carryover from:a 5th preceding period . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2a 0 0b 4th preceding period . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2b 0 0c 3rd preceding period . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2c 0 0d 2nd preceding period . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2d 0 0e 1st preceding period . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2e 0 0

3 Totals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3 1,000 0 1,000 04 Carryover to expire next year due to 5 year limitation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4 05 Total contribution carryover to next year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5 0

Computation of Section 179 Deduction for Estimated Charitable Contribution6 Taxable Income computed without contribution deduction or Section 179 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6 319,0307 Section 179 deduction for purposes of contribution limitation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7 08 Taxable income less Section 179 deduction. Subtract line 7 from line 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8 319,0309 Maximum contribution limitation. Enter 10% of line 8 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9 31,903

10 Contribution deduction considering Section 179 limitation.Smaller of line 3, col A minus lines 2a through 2e, col B or line 9 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10 1,000

Computation of Actual Charitable Contribution11 Actual Section 179 deduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11 012 Taxable income less actual Section 179 deduction. Subtract line 11 from line 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12 319,03013 Net operating loss deductions limited by line 12 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13 014 Taxable income for purposes of contribution deduction. Subtract line 13 from line 12 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .14 319,03015 Maximum contribution limitation. Enter 10% of line 14 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15 31,90316 Actual contribution deduction. Smaller of line 3, col A minus lines 2a through 2e, col B or line 15 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .16 1,000

Computation of Qualified Conservation Property Contributions by Farmers and Ranchers17 Carryover of 100% contribution from 2010 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1718 Enter the amount of qualified conservation property contributions

Do not include any amount entered in line 1(A) aboveDirect contribution . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .From partnerships . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .0 18 0

19 Net 100% contribution available for current year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19 020 Taxable income for purposes of 100% contribution deduction. Subtract line 16 from line 14 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .20 021 100% contribution deduction for current year. Enter the smaller of line 19 or line 20 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .21 022 Carryover of 100% contribution to 2012. Subtract line 20 from line 19 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .22 0

Part I - Contribution carryover, NOL carryover, and Taxable income without contribution deduction

1 2011 taxable income without contributions deduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1 319,0302 Contribution deduction available in 2011 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2 1,0003 Prior year NOL carryover to 2011 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3 0

Part II - Determination of 2011 contributions converted to NOL under Section 170(d)(2)(B)

1 Taxable Income computed without contribution deduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1 02 Net operating loss deductions. (NOL cannot exceed Part II, line 1) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2 03 Taxable income for purposes of contribution deduction. Subtract line 2 from line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3 04 Maximum contribution (10% of line 1 when NOL is not applied to taxable income computed without

contribution deductions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4 05 Actual contribution deduction allowed. Enter line 16 above . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5 06 Current year's Section 170(d)(2)(B) contribution deduction converted to NOL. Subtract line 5 from line 4

but do not enter more than the current year contribution less the actual contribution deduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6 0

Part III - Determination of 2011 contribution carryover to next year under Section 170(d)(2)(B)

1 Contribution deduction available in 2011. Enter Part I, line 2 above . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1 1,0002 Contribution deducted for the tax year ending 2011. Enter line 16 above . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2 1,0003 Current year's Section 170(d)(2)(B) contribution deduction converted to NOL. Enter Part II, line 6 above . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3 04 Carryover to expire next year due to 5 year limitation. Enter Column D, line 4 above . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4 05 Total contribution carryover to next year. Subtract lines 2, 3, and 4 from line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5 0


Line 3, Sch J (1120) - Small Corporation Exempt from AMT Determination

Complete this worksheet to determine if the corporation qualifies as a small corporation exempt from the

alternative minimum tax.

Yes NoX Is this tax year the corporation's first year in existence?

If "Yes", Stop here. The corporation is exempt from AMT with no other qualification requirements.

X Did the corporation lose small corporation status in a prior year? If so, enter the change date:If "Yes", Stop here. Once a corporation loses its small corporation status, it cannot qualify in any subsequent tax year.

Annualized Prior ThreeTax Year Gross Receipts Year Average

2005 0 Enter Gross Receipts for 2005.2006 0 Enter Gross Receipts for 2006.2007 0 Enter Gross Receipts for 2007.2008 0 Enter Gross Receipts for 2008.2009 0 Enter Gross Receipts for 2009.2010 0 Enter Gross Receipts for 2010.2011 530,000 0

Yesor

N/A No

X Did the corporation have average annual gross receipts of $5 million or less for the FIRST

three-year period beginning after 1993 (for calendar year corps in existence on 1/1/1994through 1996)?

X Were the corporation's average gross receipts for EVERY three-year period beginning after

1994 and ending before its tax year beginning in 2011 $7.5 million or less? (For calendaryear corporations in existence on 1/1/1994, the three year periods are: 1995-1997, 1996-1998,1997-1999, 1998-2000, 1999-2001, 2000-2002, 2001-2003, 2002-2004, 2003-2005, 2004-2006, 2005-2007,2006-2008, 2007-2009, 2008-2010).

X If the corporation had only one prior tax year, were the gross receipts for the prior taxyear $5 million or less, (or the corporation was established before 1994)?

Corporation qualifies as a small corporation or is otherwise exempt from the alternative minimum tax.


Sch L (1120) - Balance Sheets per BooksAssets Beginning Ending

1 Cash . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1 23,220 26,3002a Trade notes and accounts receivable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2a 35,850 32,1002b Less allowance for bad debts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2b2c Net trade notes and accounts receivable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2c 35,850 32,1003 Inventories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3 0 04 U.S. government obligations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .45 Tax-exempt securities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5 75,000 75,0006 Other current assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6 0 07 Loans to shareholders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .78 Mortgage and real estate loans . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8

9 Other investments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9 0 0

10a Buildings and other depreciable assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10a 295,600 311,700

10b Less accumulated depreciation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10b -63,500 -85,900

10c Net buildings and other depreciable assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10c 232,100 225,800

11a Depletable assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11a

11b Less accumulated depletion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11b

11c Net depletable assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11c 0 0

12 Land (net of any amortization) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12 35,000 35,000

13a Intangible assets (amortizable only) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13a 0 0

13b Less accumulated amortization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13b 0 0

13c Net intangible assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13c 0 0

14 Other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .14 2,980 2,110

15 Total assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15 404,150 396,310

Liabilities and Capital

16 Accounts payable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .16 34,800 35,596

17 Mortgages, notes, bonds payable in less than 1 year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17

18 Other current liabilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18 9,350 18,250

19 Loans from shareholders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19

20 Mortgages, notes, bonds payable in 1 year or more . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .20 114,000 108,600

21 Other liabilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .21 0 0

22a Capital stock (preferred) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .22a

22b Capital stock (common) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .22b 200,000 200,000

22c Net Capital Stock . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .22c 200,000 200,000

23 Additional paid-in capital . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23

24 Retained earnings - appropriated . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .24 0 0

25 Retained earnings - unappropriated . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .25 46,000 33,864

26 Adjustments to shareholders' equity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .26 0 0

27 Less cost of treasury stock . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .27

28 Total liabilities and shareholders' equity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .28 404,150 396,310

End of year balance sheet out of balance by . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0


Line 2, Sch M-1 (1120) - Federal Income Tax per Books1 Tax per books (Cash basis) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1 -4,6662 Enter federal income tax per books. Enter on line 2, Schedule M-1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2 -4,666

Line 4a (4626) - Adjusted Current Earnings

1 Pre-adjustment AMTI. Enter the amount from line 3 of Form 4626 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 295,630

2 ACE depreciation adjustment:

a AMT depreciation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2a 0

b ACE depreciation:

(1) Post-1993 property . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2b1

(2) Post-1989, pre-1994 property . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2b2

(3) Pre-1990 MACRS property . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2b3

(4) Pre-1990 original ACRS property . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2b4

(5) Property described in sections 168(f)(1)

through (4) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2b5

(6) Other property . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2b6

(7) Total ACE depreciation. Add lines 2b(1) through 2b(6) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2b7 0

c ACE depreciation adjustment. Subtract line 2b(7) from line 2a . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2c 0

3 Inclusion in ACE of items included in earnings and profits (E&P):

a Tax-exempt interest income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3a 3,000

b Death benefits from life insurance contracts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3b

c All other distributions from life insurance contracts (including surrenders) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3c

d Inside buildup of undistributed income in life insurance contracts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3d

e Other items (see Regulations sections 1.56(g)-1(c)(6)(iii) through (ix) for a

partial list) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3e

f Total increase to ACE from inclusion in ACE of items included in E&P. Add lines 3a through 3e . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3f 3,000

4 Disallowance of items not deductible from E&P:

a Certain dividends received . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4a

b Dividends paid on certain preferred stock of public utilities that are deductible

under section 247 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4b

c Dividends paid to an ESOP that are deductible under section 404(k) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4c

d Nonpatronage dividends that are paid and deductible under section

1382(c) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4d

e Other items (see Regulations sections 1.56(g)-1(d)(3)(i) and (ii) for a

partial list) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4e

f Total increase to ACE because of disallowance of items not deductible from E&P.

Add lines 4a through 4e . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4f 0

5 Other adjustments based on rules for figuring E&P:

a Intangible drilling costs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5a

b Circulation expenditures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5b

c Organizational expenditures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5c

d LIFO inventory adjustments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5d

e Installments sales . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5e

f Total other E&P adjustments. Combine lines 5a through 5e . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5f 0

6 Disallowance of loss on exchange of debt pools . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

7 Acquisition expenses of life insurance companies for qualified foreign contracts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

8 Depletion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

9 Basis adjustments in determining gain or loss from sale or exchange of pre-1994 property . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

10 Adjusted current earnings. Combine lines 1, 2c, 3f, 4f, and 5f through 9. Enter the result here

and on line 4a of Form 4626 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 298,630

CLI

EN

T C

OPY









TYPE

OR

PRINT











5 Interest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 3,000

6 Gross rents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

7 Gross royalties . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7








15 Bad debts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

16 Rents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 4,100


18 Interest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 12,800



21 Depletion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

22 Advertising . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22 19,300


















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received(b) %

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seeinstructions 0















17 Other dividends . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .




Form 1120 (2011)

CLI

EN

T C

OPY






4 Add lines 2 and 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 103,471












Form 8697) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9c


8866) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9d














a Form 2439 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19a

b Form 4136 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . 19b













Name







Form 1120 (2011)

CLI

EN

T C

OPY


Yes No






(ii) Employer


Incorporation

(iv) Percentage



























Form 1120 (2011)

CLI

EN

T C

OPY



1 Cash . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23,220 26,300



3 Inventories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .















15 Total assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 404,150 396,310









b Common stock . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 200,000 200,000 200,000 200,000



















0

3,800 9 Add lines 7 and 8 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3,000






0 7 Add lines 5 and 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20,000


Form 1120 (2011)

CLI

EN

T C

OPY

OMB No. 1545-0175




















l Depletion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2l














e ACE adjustment.














10 Multiply line 9 by 20% (.20) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 58,970







CLI

EN

T C

OPY








Number (if any)









CLI

ENT

CO

PY

SCHEDULE PH

(Form 1120)











line 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3


















14 Dividends . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 20,000

15 a Interest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15a 3,000



17 Annuities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

18 a Rents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18a 4,100




schedule) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19b 19c 0












(HTA)

Ad

dit

ion

sD

ed

uc

tio

ns

CLI

EN

T C

OPY






1

St Zip

St Zip

St Zip

St Zip

St Zip



(a) Description of

property

(b) Date

acquired

(c) Cost or

other basis

(d) Depreciation

deduction

(e) Repairs,


(attach schedule)

(f) Total of

columns (d)and (e)

(g) Income from


(h) Excess


1












line 9 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 0


CLI

EN

T C

OPY







(c) Percent of


1 Belinda Jackson 123-45-6789 50.00% 50.00% % 125,000

Ahmad Sharma 987-65-4321 50.00% 50.00% % 125,000

% % %

% % %

% % %

% % %

% % %

% % %

% % %

% % %

% % %

% % %

% % %

% % %

% % %

% % %

% % %

% % %

% % %

% % %






(HTA)



CLIENT C

OPY










CLIENT C

OPY











CLI

EN

T C

OPY





















CLIENT C

OPY









Yesor

N/A No








CLIEN

T COPY














14 Other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .14 2,980 2,110

15 Total assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15 404,150 396,310



















CLI

ENT

CO

PY






b ACE depreciation:

(1) Post-1993 property . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2b1





through (4) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2b5

(6) Other property . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2b6









partial list) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3e





under section 247 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4b



1382(c) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4d


partial list) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4e












8 Depletion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8












TYPE

OR

PRINT











5 Interest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 3,000

6 Gross rents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

7 Gross royalties . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7








15 Bad debts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

16 Rents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 4,100


18 Interest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 12,800



21 Depletion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

22 Advertising . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22 19,300


















Sign

Here


PTIN




Paid

Preparer



(HTA)

Inco

me

an

d P

aym

en

tsT

ax, R

efu

nd

ab

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red

its,

Ded

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s (

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str

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on

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or

lim

itati

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n d

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ucti

on

s.)


received(b) %

(a) × (b)




seeinstructions 0















17 Other dividends . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .




Form 1120 (2011)






4 Add lines 2 and 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 103,471












Form 8697) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9c


8866) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9d














a Form 2439 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19a

b Form 4136 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . 19b













Name







Form 1120 (2011)


Yes No






(ii) Employer


Incorporation

(iv) Percentage



























Form 1120 (2011)



1 Cash . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23,220 26,300



3 Inventories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .















15 Total assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 404,150 396,310









b Common stock . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 200,000 200,000 200,000 200,000



















0

3,800 9 Add lines 7 and 8 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3,000






0 7 Add lines 5 and 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20,000


Form 1120 (2011)

OMB No. 1545-0175




















l Depletion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2l














e ACE adjustment.














10 Multiply line 9 by 20% (.20) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 58,970














Number (if any)









SCHEDULE PH

(Form 1120)











line 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3


















14 Dividends . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 20,000

15 a Interest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15a 3,000



17 Annuities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

18 a Rents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18a 4,100




schedule) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19b 19c 0












(HTA)

Ad

dit

ion

sD

ed

uc

tio

ns






1

St Zip

St Zip

St Zip

St Zip

St Zip



(a) Description of

property

(b) Date

acquired

(c) Cost or

other basis

(d) Depreciation

deduction

(e) Repairs,


(attach schedule)

(f) Total of

columns (d)and (e)

(g) Income from


(h) Excess


1












line 9 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 0








(c) Percent of


1 Belinda Jackson 123-45-6789 50.00% 50.00% % 125,000

Ahmad Sharma 987-65-4321 50.00% 50.00% % 125,000

% % %

% % %

% % %

% % %

% % %

% % %

% % %

% % %

% % %

% % %

% % %

% % %

% % %

% % %

% % %

% % %

% % %

% % %






(HTA)


















































Yesor

N/A No





















14 Other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .14 2,980 2,110

15 Total assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15 404,150 396,310
























b ACE depreciation:

(1) Post-1993 property . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2b1





through (4) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2b5

(6) Other property . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2b6









partial list) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3e





under section 247 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4b



1382(c) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4d


partial list) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4e












8 Depletion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8




Documents

By the Numbers, Inc